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Updated: Jun 26, 2026

Pulse Wave Velocity Testing in the Baltimore Longitudinal Study of Aging
Published on: February 7, 2014
Aortic pulse wave velocity predicts cardiovascular mortality in middle-aged and elderly Japanese men
Noriko Inoue1, Ryo Maeda, Hideshi Kawakami
1Hiroshima City Medical Association Clinical Laboratory Center, 3-8-6 Senda-machi, Naka-ku, Hiroshima 730-8611, Japan. ninoue@gentaikyo.or.jp
Insights
Increased aortic pulse wave velocity (PWV) predicts higher cardiovascular mortality risk in middle-aged and elderly Japanese men. This study highlights PWV as a crucial indicator for cardiovascular health in this demographic.
Area of Science:
- Cardiovascular research
- Gerontology
- Public health
Background:
- Aortic pulse wave velocity (PWV) is a noninvasive measure of arterial stiffness.
- Arterial stiffness is a significant risk factor for cardiovascular events.
Purpose of the Study:
- To investigate the association between PWV and cardiovascular mortality.
- To examine this relationship in a cohort of middle-aged and elderly Japanese men.
Main Methods:
- Longitudinal study design.
- Recruited 3,960 men aged 50-69 years (1988-2003).
- Measured PWV, standardized for diastolic blood pressure, and followed participants for an average of 8.2 years.
Main Results:
- Mortality from all causes and cardiovascular disease significantly increased with higher PWV.
- The highest quartile of PWV (>9.0 m/s) showed a 1.83-fold increased risk of cardiovascular mortality compared to the lowest quartile (<7.5 m/s).
Conclusions:
- Elevated aortic pulse wave velocity is a significant predictor of cardiovascular mortality.
- PWV measurement can aid in risk stratification for cardiovascular disease in older Japanese men.
Background:
Aortic pulse wave velocity (PWV) is widely used as a noninvasive index of arterial stiffness and was used in the present study to investigate the relationship between PWV and cardiovascular mortality in the middle-aged and elderly Japanese population using a longitudinal study design.
Methods And Results:
From 1988 to 2003, a total of 3,960 men (50-69 years old at baseline) who underwent medical check-ups and measurement of PWV, which was standardized for diastolic blood pressure, were recruited and divided into 4 groups according to the PWV values. The average follow-up period was 8.2 years. Mortality from all-causes and from cardiovascular disease significantly increased as PWV increased in the entire follow-up period. Multivariate-adjusted relative risks of all-cause and cardiovascular disease mortality for the highest quartile of PWV (>9.0 m/s) were 1.28 (95% confidence interval (CI) 0.97-1.68) and 1.83 (95%CI 1.02-3.29), respectively, compared with the lowest quartile (<7.5 m/s).
Conclusions:
An increased PWV can predict cardiovascular mortality in middle-aged and elderly Japanese men.
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